Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.68 / $9,639.00 / $20,509.00	Facility		$1,296.68	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.77 / $1,296.68 / $6,732.16	Professional		$1,165.77	$1,296.68	$6,732.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,001.00 / $23,933.00	Facility		$3,738.00	$12,001.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,679.13 / $2,293.41 / $4,374.18	Professional		$1,679.13	$2,293.41	$4,374.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $940.64 / $1,445.84 / $3,221.62	Professional		$940.64	$1,445.84	$3,221.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.32 / $1,571.82 / $3,793.10	Professional		$1,264.32	$1,571.82	$3,793.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.61 / $1,384.45 / $1,799.79	Professional		$1,120.61	$1,384.45	$1,799.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.86 / $1,601.80 / $2,904.00	Professional		$1,233.86	$1,601.80	$2,904.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,413.12 / $24,012.64	Facility		$55.00	$19,413.12	$24,012.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,932.00 / $11,932.00 / $11,932.00	Professional		$11,932.00	$11,932.00	$11,932.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,309.94 / $1,730.56 / $2,475.00	Facility		$1,309.94	$1,730.56	$2,475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,293.26 / $1,571.28 / $3,648.40	Professional		$1,293.26	$1,571.28	$3,648.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,177.17 / $4,177.17 / $4,177.17	Professional		$4,177.17	$4,177.17	$4,177.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,120.61 / $1,533.94 / $2,119.79	Professional		$1,120.61	$1,533.94	$2,119.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.14 / $1,554.90 / $3,876.15	Professional		$1,099.14	$1,554.90	$3,876.15